ArticleHuman factors2020
Supporting Surgical Teams: Identifying Needs and Barriers for Exoskeleton Implementation in the Operating Room.
Article in Human factors, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Occupational Exoskeletons as a Technological Solution for Musculoskeletal Disorders: A Systematic Review of Barriers and Facilitators for Sustainable Workplace Integration.Journal of occupational rehabilitation · 2026Pooled it
- Industrial exoskeletons from bench to field: Human-machine interface and user experience in occupational settings and tasks.Frontiers in public health · 2022Pooled it
- Assessment of a Passive Exoskeleton for Neck and Lower Back Support: A Task Study on Muscle Activity and User Perceived Exertion.Sensors (Basel, Switzerland) · 2026Article
- Use of an Intraoperative Head, Neck, and Back Support Exoskeleton on Surgeons' Pain and Posture.Annals of surgery · 2026Article
- Reframing workplace safety, wellbeing, and performance among operating room nurses in contemporary healthcare systems.Frontiers in public health · 2026Review
- Social and health impacts of exoskeleton use on care workers.Work (Reading, Mass.) · 2025Article
- Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review.Biomimetics (Basel, Switzerland) · 2025Review
- Research Status and Development Trend of Lower-Limb Squat-Assistant Wearable Devices.Biomimetics (Basel, Switzerland) · 2025Review
- Perspectives of Mining Personnel on Adopting Occupational Exoskeletons: Comparisons Between a Developed and a Developing Country.Mining, metallurgy & exploration · 2025Article
- Mapping the evidence on occupational exoskeleton use for the workforce in healthcare, social care, and industry: A systematic scoping review.Wearable technologies · 2025Review
- Evaluation of a passive back-support exoskeleton during in-bed patient handling tasks.International journal of occupational safety and ergonomics : JOSE · 2024Article
- Exoskeleton technology in nursing practice: assessing effectiveness, usability, and impact on nurses' quality of work life, a narrative review.BMC nursing · 2024Review
- Impact of preferred surgical modality on surgeon wellness: a survey of workload, physical pain/discomfort, and neuromusculoskeletal disorders.Surgical endoscopy · 2023Article
- Nurses' assessment and management practices of pain among intensive care patients in King Khalid Hospital, Kharj, Riyadh.Heliyon · 2023Article
- Assessment of Exoskeletons on Nurses' Quality of Work Life: A Pilot Study at Foch Hospital.Nursing reports (Pavia, Italy) · 2023Article
- At Risk Safety Behaviors of the Perioperative Nursing Team: A Direct Observational Study.Healthcare (Basel, Switzerland) · 2023Article
- Physical and mental health impairments experienced by operating surgeons and camera-holder assistants during laparoscopic surgery: a cross-sectional survey.Frontiers in public health · 2023Article
- Critical review on applications and roles of exoskeletons in patient handling.International journal of industrial ergonomics · 2022Article
- Intraoperative musculoskeletal discomfort and risk for surgeons during open and laparoscopic surgery.Surgical endoscopy · 2021Article
- Exoskeletons in Nursing and Healthcare: A Bionic Future.Clinical nursing research · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe objective of this study was to identify potential needs and barriers related to using exoskeletons to decrease musculoskeletal (MS) symptoms for workers in the operating room (OR).
backgroundMS symptoms and injuries adversely impact worker health and performance in surgical environments. Half of the surgical team members (e.g., surgeons, nurses, trainees) report MS symptoms during and after surgery. Although the ergonomic risks in surgery are well recognized, little has been done to develop and sustain effective interventions.
methodSurgical team members (
resultsFour themes were identified: (1) characteristics of individuals, (2) perceived benefits, (3) environmental/societal factors, and (4) intervention characteristics. Participants noted that exoskeletons would benefit workers who stand in prolonged, static postures (e.g., holding instruments for visualization) and indicated that they could foresee a long-term decrease in MS symptoms with the intervention. Specifically, raising awareness of exoskeletons for early-career workers and obtaining buy-in from team members may increase future adoption of this technology. Mean participant responses from the System Usability Scale was 81.3 out of 100 (
conclusionAdoption factors were identified to implement exoskeletons in the OR, such as the indicated need for exoskeletons and usability. Exoskeletons may be beneficial in the OR, but barriers such as maintenance and safety to adoption will need to be addressed. APPLICATION: Findings from this work identify facilitators and barriers for sustained implementation of exoskeletons by surgical teams.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.